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Intensive English Program

The University of Mississippi – Office of Global Engagement


    Fee Payment Form

    Payment on Behalf of (Full Name):

    When did you complete the IEP Application Form?

    Applicant's Email:

    Name on Card:

    Card Number:

    Expiration Date:

    Billing Zip Code (Postal Code):

    Visa or Mastercard? VisaMastercard

    Fee to Pay:

    Notes/Other Amount:


    By clicking "Submit" below, I agree that I am the person whose name appears on the credit card information above, and that I agree to pay thenon-refundable IEP Application Fee (or other charge as specified).

    I agree

    Note: If the information on this form does not match the information on the IEP Application Form, the Application Fee will not be processed.

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